%0 Journal Article %1 Adams1995 %A Adams, J. %A Cahan, L. D. %A Perry, J. %A Beeler, L. M. %D 1995 %J Pediatr Neurosurg %K Adolescent; Adult; Cerebral Palsy; Child; Child, Preschool; Electromyography; Foot; Gait; Humans; Male; Muscle Spasticity; Postoperative Period; Rhizotomy; Treatment Outcome %N 2 %P 76--81 %T Foot contact pattern following selective dorsal rhizotomy. %V 23 %X Fourteen ambulatory patients with spastic cerebral palsy were evaluated prior to and 6 months following selective dorsal rhizotomy. An instrumented gait analysis identified significant improvements in foot contact patterns, velocity and stride length. The high incidence of postoperative valgus, excessive dorsiflexion and persistent knee flexion during gait was attributed to significant weakness and hypotonicity in the plantar flexors, as well as residual hamstring spasticity (p < 0.05). Sectioning of fewer S-1 rootlets may preserve plantar flexion strength and enhance stance stability by preventing postoperative increases in dorsiflexion and knee flexion. Orthotic prescription for ankle instability should be a routine postoperative consideration.

@article{Adams1995, abstract = {Fourteen ambulatory patients with spastic cerebral palsy were evaluated prior to and 6 months following selective dorsal rhizotomy. An instrumented gait analysis identified significant improvements in foot contact patterns, velocity and stride length. The high incidence of postoperative valgus, excessive dorsiflexion and persistent knee flexion during gait was attributed to significant weakness and hypotonicity in the plantar flexors, as well as residual hamstring spasticity (p < 0.05). Sectioning of fewer S-1 rootlets may preserve plantar flexion strength and enhance stance stability by preventing postoperative increases in dorsiflexion and knee flexion. Orthotic prescription for ankle instability should be a routine postoperative consideration.}, added-at = {2014-07-19T17:36:24.000+0200}, author = {Adams, J. and Cahan, L. D. and Perry, J. and Beeler, L. M.}, biburl = {https://www.bibsonomy.org/bibtex/29346d8b13fd60608c7c99b21fcfe716a/ar0berts}, groups = {public}, interhash = {0b70a0d0e72eca631a780267ffac8319}, intrahash = {9346d8b13fd60608c7c99b21fcfe716a}, journal = {Pediatr Neurosurg}, keywords = {Adolescent; Adult; Cerebral Palsy; Child; Child, Preschool; Electromyography; Foot; Gait; Humans; Male; Muscle Spasticity; Postoperative Period; Rhizotomy; Treatment Outcome}, number = 2, pages = {76--81}, pmid = {8555099}, timestamp = {2014-07-19T17:36:24.000+0200}, title = {Foot contact pattern following selective dorsal rhizotomy.}, username = {ar0berts}, volume = 23, year = 1995 }